Aortik Kros Klemp ile Myokard İskemisi Yaratmadan Konjenital Düzeltilmiş Büyük Arter Transpozisyonlu Asendan Aortu Hipoplazik Tip A Kesintili Aortik Arkı Olan Hastanın Tedavisi

Yıl 2022, Cilt: 36 Sayı: 2, 191 - 195, 30.08.2022

Emre Öteyaka

https://doi.org/10.18614/deutip.1174704

Öz

İnterrupted aortik ark tedavisi karmaşık bir süreçtir. Cerrahi rekonstrüksiyon genellikle myokard iskemisine neden olan aortik kros klempleme, kalbin durdurulması ve hatta kansız operasyon sahası için derin hipotermi gerektirir.Bu yazıda, normotermik şartlarda, kalbi durdurmadan çıkan aort, aortik ark ve proksimal desendan aort replasmanını selektif kanülasyon ve tüm vücut perfüzyonunu sağlayan cerrahi teknik ile tedavi ettiğimiz konjenital düzeltilmiş büyük arter transpozisyonu, tip A kesintili aortik ark ve hipoplazik asendan aortu olan hastamızı sunuyoruz.
Anahtar Kelimeler: Arkus aorta, Kesinti, Konjenital düzeltilmiş büyük arter transpozisyonu, Kanülasyon.
ABSTRACT
Treatment of interrupted aortic arch is complex. Surgical reconstruction consists of procedures that cause myocardial ischemia, such as aortic cross clamping, cardioplegia, and hypothermia. In this article, we present a patient with congenitally corrected transposition of great arteries together with Type A interruption as well as hypoplastic ascending aorta and the aortic arch. The replacement of the aorta, aortic arch, and the proximal descending aorta was performed under normothermic conditions without cardioplegia, which was achieved with a technique that preserves the systemic blood supply by using selective cannulation.
Aortic Arch, Interruption, Congenitally corrected transposition of great arteries, Cannulation.

Anahtar Kelimeler

Aortic Arch, Interruption, Congenitally corrected transposition of great arteries, Cannulation.

Kaynakça

• 1. Konstantinov IE, Pohlner P. Interrupted aortic arch with transposition of great arteries and hypoplastic right ventricle: a successful repair. Texas Heart Institute Journal, 35(2), 206.
• 2. Ugurlucan M, Yildiz Y, Ulukan MO, Oztas DM, Beyaz MO, Canata E, Coban S, Unal O, Erkanli K, Turkoglu H. A surgical technique for ascending aorta, aortic arch and descending aorta replacement without cross-clamp, circulatory arrest or hypothermia. Cardiol Young. 2020 Jan;30(1):24-27.
• 3. Spigel Z, Binsalamah ZM, Caldarone C. Congenitally Corrected Transposition of the Great Arteries: Anatomic, Physiologic Repair, and Palliation. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2019;22:32-42.